Coy Williamson

Primary specialty

PharmacistTaxonomy code 183500000X

License

43972 Issued in TX

Practice address

5904 Summerfield Dr
Texarkana, TX 75503-4306

Phone

(430) 200-4350

Fax

(866) 337-1615

NPI assigned

Feb 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18412/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midsouth Transitions Medical Group

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1790262681
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1770048324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SUMMERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034306",
            "telephone_number": "430-200-4350",
            "fax_number": "866-337-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 SUMMERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034306",
            "telephone_number": "430-200-4350",
            "fax_number": "866-337-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3002 Moores Ln",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032204",
            "country_code": "US",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "COY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikia Williams, LVN
• Robyn Renee Williams, NP
• Shamree Lynn Williams
• Susan Williams
• Tamika Williams
• David H Williamson, CRNA
• Brent Willis, CRNA
• Kyle Willis, PHARMD
• Barbara L Wilson, LPC
• Melissa Michelle Wilson, FNP

• Pharmacist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.